Transcanalicular endoscopic laser assisted dacryocystorhinostomy

  • Nishi Gupta

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The presented video shows steps of Transcanalicular endoscopic laser assisted dacryocystorhinostomy. Transcanalicular endoscopic laser dacryocystorhinostomy (DCR) involves the creation of an opening between the lacrimal sac and the nasal cavity using a transcanalicular laser fibre. It is indicated in Primary acquired nasolacrimal duct (NLD) obstruction, failed dacryocystorhinostomy (DCR) due to ostia closure, complex congenital nasolacrimal duct (NLD) obstruction. Its advantage is that it can be performed under local anaesthesia as a day-case procedure, can be performed in a patient on anticoagulants and is useful in revision dacryocystorhinostomy (DCR). However, its high cost, high failure rate and complications limit its use in selective cases. The video is aimed at ENT surgeons, rhinologist, oculoplastic surgeons and ophthalmologists. The viewers will find it easy to pick up the steps and practice this surgery.


This video provides clarity about the indications and proper case selection for laser dacrocystorhinostomy (DCR).

About The Author

Nishi Gupta

Nishi Gupta is currently the Associate Director and Head Department of ENT at Dr Shroff`s Charity Eye Hospital (SCEH), New Delhi. She obtained her MS degree from the prestigious Mahatma Gandhi Institute of Medical Sciences Wardha, Nagpur university. She has been associated with this institute for close to three decades where she has done extensive work on endoscopic sinus surgeries and microear surgeries. She has always been passionate about endonasal endoscopic dacryocystorhinostomy.

She has been conducting live surgery workshops and hands-on cadaveric dissection training program for ENT and eye surgeons. She has presented several scientific papers on varied ENT topics at various national and international conferences and published research papers in national and international journals. She has the distinction of being an expert on the topic of endoscopic dacryocystorhinostomy and has been a regular invitee for lectures and surgical demonstrations at various endoscopic dacryocystorhinostomy workshops /conferences at national and international levels. This includes Geneva, Hongkong, Athenes, Nepal, and Bangladesh. She is the recipient of many prestigious awards at various sinus endoscopic surgery conferences.


About this video

Nishi Gupta
Online ISBN
Total duration
13 min
Springer, Singapore
Copyright information
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2021

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Video Transcript


Hello, my name is Nishi Gupta. And I’m heading the Department of Otorhinolaryngology, and working as Associate Medical Director at Dr. Shroff’s Charity Eye and ENT Hospital, New Delhi. This is a video on Transcanalicular Endoscopic laser assisted dacryocystorhinostomy.